The physiologic nursing assessment is completed before surgery. Which of the following are the focus of this assessment? (Select all that apply.)
a. living arrangements e. respiratory status
b. insurance f. family status
c. nutritional status g. age
d. fluid and electrolyte balance h. medications
C, D, E, F, G, H
The physiologic nursing assessment is completed before surgery and includes health data obtained from the client, the family, and health care providers, and from previous health records. The focus of this assessment is identification of risk factors and possible complications of each; these data provide the basis for establishing the client's nursing diagnoses. The assessment addresses age, nutritional status, fluid and electrolyte balance, respiratory and cardiovascular status, neurological and musculoskeletal status, renal and hepatic status, integumentary status, and the client's current medications. Preoperative psychosocial health assessment includes identifying the client's perceptions and expected outcomes of the scheduled surgery, coping mechanisms and ability to understand the procedure, and cultural and spiritual beliefs.
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The nurse is working with a family who experienced a stillbirth of their son two months ago. Which statement by the mother would be expected?
A. "I seem to keep crying for no reason." B. "The death of my son hasn't changed my life." C. "I have not visited my son's gravesite." D. "I feel happy all of the time."
You are treating a 2-year-old, 24-lb patient. Upon assessment, the patient is unconscious, with the following vital signs: BP, 64/42 mm Hg; R, 26 breaths/min; P, 48 beats/min. Once the patient's airway is secured, what is the most appropriate pharmacologic intervention?
A) Atropine 0.48 mg B) Atropine 0.22 mg C) Epinephrine 0.11 mg D) Epinephrine 0.24 mg
During a respiratory assessment of a healthy adult, which findings, those labeled with numbers ____________________, are expected? (Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].)
1. Thoracic expansion that is symmetric bilaterally 2. Respiratory rate of 24 breaths per minute 3. Bronchophony revealing clear voice sounds 4. Breath sounds clear with vesicular breath sounds heard over most lung fields 5. Anteroposterior diameter of the chest about a 1:2 ratio of anteroposterior to lateral diameter 6. Symmetric thorax with ribs sloping downward at about 45 degrees relative to the spine